Assessment of Provider-Initiated Testing and Counseling Implementation: Cambodia
In 2007, the World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention recommended provider-initiated testing and counseling (PITC)—an approach in which health care providers offer routine HIV testing and counseling services to persons attending health care facilities as a standard component of medical care. That same year, Cambodia initiated “Healthcare Provider-Initiated Testing and Counseling,” in which health care providers in specialty clinics recommend routine referral for HIV testing at a voluntary confidential counseling and testing site. The approach varies from WHO guidelines in that it offers routine “referral” and not routine “testing.”
AIDSTAR-One conducted a rapid assessment of Cambodia’s approach to identify the following:
- 1) promising practices in HIV testing and counseling;
- 2) challenges experienced implementing routine referrals;
- 3) opportunities and barriers to the WHO PITC approach; and
- 4) opportunities to address unmet needs.
Interviews were conducted with health care providers, senior managers, voluntary confidential counseling and testing staff, and clients. A variety of themes emerged. Challenges were identified to introducing the WHO-defined PITC approach, including a need for staff incentives. AIDSTAR-One provides recommendations that define activities aimed to fill current gaps and could lay groundwork for implementing the WHO’s PITC approach in Cambodia.
Download the full report (PDF, 581 KB)
Executive Summary (PDF, 587 KB)
Introduction (PDF, 587 KB)
Methodology, Findings, and Discussion (PDF, 587 KB)
Recommendations (PDF, 587 KB)
Appendix 1 (PDF, 587 KB)
Appendix 2 (PDF, 587 KB)
Appendix 3 (PDF, 587 KB)